Case Study Neurologic System: Chronic Case Study: Parkinson's Disease approx 30 min Mr. Nimmo, age 66, has noticed excessive...

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Medical Sciences

Case Study
Neurologic System: Chronic
Case Study: Parkinson's Disease
approx 30 min
Mr. Nimmo, age 66, has noticed excessive fatigue, muscle aches,and weakness in his legs for some time. His hands were shakingslightly, although his wife reported that the shaking appeared tostop when he fell asleep. Some unintentional head movements werealso apparent. He remembers that his grandfather died in hismid-60s after suffering for years from a condition with similarsymptoms. After several tests and the elimination of some otherneuromuscular conditions, a diagnosis of Parkinson's disease wasmade for Mr. Nimmo.
Q1 : Discuss the pathophysiology of Parkinsonâ€™s disease and howit differs from other neuromuscular conditions affecting olderadults.
Q2: Discuss the usual progression of the disease as thepathophysiology develops further. Indicate additionalmanifestations that will be noticeable.
Q3: Describe the complications that frequently develop,including the rationale for each and the early indications of eachproblem.
Q4: Discuss the treatments available to this patient.

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Ans Parkinsons disease 1 Pathophysiology Smooth and coordinated muscle movements of the body are made possible by a substance in the brain called dopamine Dopamine is produced in a part of the brain called the substantia nigra In Parkinsons the cells of the substantia nigra start to die When this happens dopamine levels are reduced When they have dropped 60 to 80 percent symptoms of Parkinsons start to appear The exact cause of Parkinsons is unknown It may have both genetic and environmental components Some scientists think that viruses can trigger Parkinsons as well Low levels of dopamine and norepinephrine a substance that regulates dopamine have been linked with See Answer

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